Individual
GUSTAVO LOZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114
(617) 573-3380
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3380
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
237132
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237132
LICENSE
MA
Enumeration date
07/25/2008
Last updated
05/18/2018
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